ArticleInternet interventions2026
Therapist-patient correspondence in internet-based CBT for chronic pain: Associations with outcome and adherence.
Article in Internet interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Guided Internet-based Cognitive Behavioral Therapy (iCBT) typically involves text correspondence with a clinician who provides feedback and answers questions during the course of the treatment. Previous research indicates that therapist guidance can improve outcomes. A few studies show that therapists' type of feedback, and possibly participant's choice of questions, are associated with treatment adherence and outcome. While a small number of studies have been published on this topic, few has reported on both therapist and patient correspondence in the same study, and to our knowledge no studies have been published on correspondence in iCBT for patients with chronic pain. Aims: The aim of the current study was to characterize therapist-participant correspondence and to examine whether specific behaviors correlate with treatment adherence and/or clinical outcomes in a guided, individually tailored iCBT for individuals with chronic pain and psychological distress. Methods: Data were obtained from a previously published randomized controlled trial (Gasslander et al., 2022). The study included 1240 therapist messages and 609 participant messages, which were coded using two separate coding schemes. Proportions of coded behaviors were analyzed through correlations to explore associations between therapist-participant communication patterns, treatment adherence (defined as the number of completed treatment steps), and treatment outcomes (pre-to post treatment change scores). Results: Participant and therapist behaviors were identified and comparisons with previous studies revealed notable similarities and differences. Correlational analyses showed associations both between and within therapist and participant behaviors. No significant associations were observed between specific behaviors and outcome. However, several observed behaviors demonstrated significant correlations with treatment adherence. Conclusions: Distinct therapist and participant behaviors can be identified in guided iCBT for individuals with chronic pain. While the relationship with treatment outcome is unclear, adherence to treatment seems to be related to the specific types of behaviors exhibited in the text-based correspondence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.